Giant aneurysm of the right coronary artery and magnetic resonance coronary angiography
Coronary artery aneurysm (CAA) is generally defined as coronary dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient’s largest coronary vessel by 1.5 times. The prime cause of CAAs is atherosclerosis, and the most commonly affected artery is the right coron...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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King Faisal Specialist Hospital and Research Centre
2014-07-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2014.346 |
| _version_ | 1818194209583136768 |
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| author | Sebastian Sobczak Bogdan Jegier Ludomir Stefanczyk Malgorzata Lidia Lelonek |
| author_facet | Sebastian Sobczak Bogdan Jegier Ludomir Stefanczyk Malgorzata Lidia Lelonek |
| author_sort | Sebastian Sobczak |
| collection | DOAJ |
| description | Coronary artery aneurysm (CAA) is generally defined as coronary dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient’s largest coronary vessel by 1.5 times. The prime cause of CAAs is atherosclerosis, and the most commonly affected artery is the right coronary artery. CAAs are quite commonly detected during X-ray coronary angiography. However, Coronary artery aneurysm (CAA) is generally defined as coronary dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient's largest coronary vessel by 1.5 times. The prime cause of CAAs is atherosclerosis, and the most commonly affected artery is the right coronary artery. CAAs are quite commonly detected during X-ray coronary angiography. However, giant CAAs, especially with the diameter exceeding 100 mm, are extremely rare. The treatment method of choice of giant CAAs is the excision of aneurysm with coronary artery bypass grafting. We present a case of a 41-year-old apparently healthy woman with a giant right CAA. This was detected by noninvasive methods, including magnetic resonance coronary angiography, and its maximum diameter exceeded 100 mm. In emergency, the aneurysmal sac was excised and the aortocoronary saphenous vein graft was performed. We also present a review of the published studies of giant CAAs with the diameter exceeding 100 mm. |
| first_indexed | 2024-12-12T00:58:39Z |
| format | Article |
| id | doaj.art-a56ea335cfc3438194334734281e947e |
| institution | Directory Open Access Journal |
| issn | 0256-4947 0975-4466 |
| language | English |
| last_indexed | 2024-12-12T00:58:39Z |
| publishDate | 2014-07-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-a56ea335cfc3438194334734281e947e2022-12-22T00:43:48ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662014-07-0134434635010.5144/0256-4947.2014.346asm-4-346Giant aneurysm of the right coronary artery and magnetic resonance coronary angiographySebastian Sobczak0Bogdan Jegier1Ludomir Stefanczyk2Malgorzata Lidia Lelonek3From the Department of Cardiology, Medical University of Lodz, Lodz, PolandFrom the Department of Cardiac Surgery, Medical University of Lodz, Lodz, PolandFrom the Department of Radilogy and Diagnostic Imaging, Medical University of Lodz, Lodz, PolandFrom the Department of Cardiology, Medical University of Lodz, Lodz, PolandCoronary artery aneurysm (CAA) is generally defined as coronary dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient’s largest coronary vessel by 1.5 times. The prime cause of CAAs is atherosclerosis, and the most commonly affected artery is the right coronary artery. CAAs are quite commonly detected during X-ray coronary angiography. However, Coronary artery aneurysm (CAA) is generally defined as coronary dilatation that exceeds the diameter of normal adjacent segments or the diameter of the patient's largest coronary vessel by 1.5 times. The prime cause of CAAs is atherosclerosis, and the most commonly affected artery is the right coronary artery. CAAs are quite commonly detected during X-ray coronary angiography. However, giant CAAs, especially with the diameter exceeding 100 mm, are extremely rare. The treatment method of choice of giant CAAs is the excision of aneurysm with coronary artery bypass grafting. We present a case of a 41-year-old apparently healthy woman with a giant right CAA. This was detected by noninvasive methods, including magnetic resonance coronary angiography, and its maximum diameter exceeded 100 mm. In emergency, the aneurysmal sac was excised and the aortocoronary saphenous vein graft was performed. We also present a review of the published studies of giant CAAs with the diameter exceeding 100 mm.https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2014.346 |
| spellingShingle | Sebastian Sobczak Bogdan Jegier Ludomir Stefanczyk Malgorzata Lidia Lelonek Giant aneurysm of the right coronary artery and magnetic resonance coronary angiography Annals of Saudi Medicine |
| title | Giant aneurysm of the right coronary artery and magnetic resonance coronary angiography |
| title_full | Giant aneurysm of the right coronary artery and magnetic resonance coronary angiography |
| title_fullStr | Giant aneurysm of the right coronary artery and magnetic resonance coronary angiography |
| title_full_unstemmed | Giant aneurysm of the right coronary artery and magnetic resonance coronary angiography |
| title_short | Giant aneurysm of the right coronary artery and magnetic resonance coronary angiography |
| title_sort | giant aneurysm of the right coronary artery and magnetic resonance coronary angiography |
| url | https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2014.346 |
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